Article
Emerging Alternatives For GLP-1 Prescription Drug Coverage: What Plan Sponsors Need To Know
Employer-sponsored health plans face mounting costs from GLP-1 medications, prompting plan sponsors to explore direct-to-consumer reimbursement models that bypass traditional pharmacy benefit managers. These alternative arrangements promise significant savings but introduce complex legal and administrative challenges involving PBM contracts, ACA compliance, HSA eligibility, and ERISA requirements. Understanding the regulatory landscape and structural options—from HRAs to carve-outs—is essential
Bass, Berry & Sims PLC
